MANAGEMENT OF A COMBINED INTRUSION AND COMPLICATED CROWN FRACTURE OF THE MAXILLARY CENTRAL INCISORS IN A CHILD
Yazarlar (5)
İdil Özden Marmara Üniversitesi, Türkiye
Fatma Güngör
Dr. Öğr. Üyesi Hilal NİYAZOĞLU Kastamonu Üniversitesi, Türkiye
Büşra Oruç
Hesna Sazak Öveçoğlu Türkiye
| Makale Türü |
Özgün Makale
(Diğer hakemli uluslarası dergilerde yayınlanan tam makale)
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| Dergi Adı | Clinical Dentistry and Research | ||
| Dergi ISSN | 2146-3964 | ||
| Dergi Tarandığı Indeksler | TR DİZİN | ||
| Makale Dili | İngilizce | Basım Tarihi | 01-2024 |
| Cilt / Sayı / Sayfa | 48 / 2 / 90–98 | DOI | – |
| Makale Linki | https://dergipark.org.tr/en/download/ article-file/5532331 | ||
| UAK Araştırma Alanları |
Sağlık Bilimleri
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| Özet |
| Intrusion represents the most severe form of dental trauma, resulting in significant damage to the periodontal ligamentpulp fibres. This report details the treatment of external root resorption with intrusion and complicated crown fractures of maxillary central incisors. CBCT scans revealed oblique fractures in teeth 11-12, extending 4 mm into the gingival line and involving the pulp. The intrusion severity was classified as "severe" (8 mm). The teeth were repositioned under sedation by surgical extrusion and stabilised. Root canals were cleaned and filled with calcium hydroxide within thirty days. Permanent restoration of the fractured areas occurred after confirming tooth positions. At the 12-month follow-up, severe external resorption was observed. Remaining gutta-percha was removed, and calcium hydroxide was applied for three weeks. At the second visit, the canal lengths were assessed, and MTA was placed in all resorbed areas and root canals. Throughout the subsequent 12-month follow-up, the teeth functioned normally without symptoms. The stage of root development, patient age, and degree of intrusion are critical factors influencing prognosis. According to IADT guidelines, complete root development and intrusion exceeding 7 mm justified surgical repositioning. The literature lacks definitive evidence comparing orthodontic versus surgical approaches. Some authors advocate immediate surgical extrusion to enhance endodontic access and aesthetics, though caution is warranted due to potential mechanical damage and root resorption. Surgical repositioning may have contributed to post-endodontic root resorption. Nonetheless, the ... |
| Anahtar Kelimeler |
| Dental Trauma | External Root Resorption | Intrusion. |
